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Claims Examiner
HCSC - Albuquerque, NM
NOTE: USE FOR INDIAN HEALTH SERVICES ONLY - NOT TO BE USED FOR SDOBASIC FUNCTION: Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims. JOB REQUIREMENTS: *High School diploma or GED. *Data entry and/or typing experience. *Clear and concise writt...
Claims Examiner
HCSC - Albuquerque, NM
NOTE: USE FOR INDIAN HEALTH SERVICES ONLY - NOT TO BE USED FOR SDOBASIC FUNCTION: Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims. JOB REQUIREMENTS: *High School diploma or GED. *Data entry and/or typing experience. *Clear and concise writt...
BH Care Management Specialist-Downers Grove
HCSC - Downers Grove, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating n...
BH Care Management Specialist-Danville, IL
HCSC - Danville, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating n...
Behavioral Health Care Coord
HCSC - Richardson, TX
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating n...
BH Care Management Specialist-Chicago HQ
HCSC - Chicago, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating n...
Sr Contract Specialist
HCSC - Chicago, IL
Basic Function: This position within Contract Administration's Employer Document Unit is responsible for collaborating with internal stakeholders to draft and negotiate contract documents that govern the relationship between HCSC and its customers. The Employer Document Unit supports the Group market segment which consists of organizations that offer Blue Cross Blue Shiel...
Senior Community Outreach Specialist, Medicaid
HCSC - Chicago, IL
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. Job Purp...
Member Care Coordinator - Government Programs (Marion, IL)
HCSC - Marion, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Medical Management Specialist I - Government Programs
HCSC - Downers Grove, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
ENA Sr Strategic Account Executive- TRS
HCSC - Austin, TX
Job Purpose: This position is responsible for strategic oversight and retention for Enterprise National Accounts. Serves as the primary point of contact for customer and viewed as a trusted advisor. Develop understanding of client business strategy and identify innovative product solutions to balance costs with long-term health strategy. Required Job Qualifications: * Bachelor...
ENA Senior Strategic Account Manager- TRS
HCSC - Austin, TX
Job Purpose: This position is responsible for partnering with assigned Account Executive in all aspects of retaining and growing Enterprise National Accounts. As an experienced Account Manager, responsible for ongoing service strategy and ensuring client satisfaction including preparation of documents. May train/mentor Strategic Account Managers and/or lead projects or assist with projec...
Developer Specialist-Appian
HCSC - Richardson, TX
“As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this purpo...
Customer Advocate I
HCSC - Tulsa, OK
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB REQUIREMEN...
Customer Advocate I
HCSC - Springfield, IL
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB REQUIREMENTS:...
